Background: The prevalence of thyroid disease in patients with cardiac disease can be as high as 11.2%. Combined thyroid and cardiovascular surgery has rarely been reported. Methods: Ten patients (6 female, 4 male, age range 5173 years) had total thyroidectomy and cardiac surgery in the same procedure in our surgical department. Six patients had coronary artery disease; four patients had valvulopathy. The thyroid goiter was retrosternal in 6 patients. Results: Mean stay in the intensive care unit was 46.4hours; the postoperative course was complicated by transient right laryngeal nerve palsy in one case and by transient hypocalcemia in the patients in whom a parathyroid autotransplantation was performed (n=3). There was one case of hemodynamic compromise needing vasoactive drug support; the mean hospital stay was 8.4 days. Conclusions: Our experience and our review of the literature suggest that a single-stage procedure is safe and feasible and must be preferred to different operations as it has an acceptable peri-operative and anesthesiological risk. © Georg Thieme Verlag KG Stuttgart - New York.

Combined cardiac surgery and total thyroidectomy: Our experience and review of the literature / Testini, M.; Poli, E.; Lardo, D.; Lissidini, G.; Gurrado, A.; Scrascia, G.; Malvindi, P. G.; Rubino, G.; Piccinni, G.; De Luca Tupputi Schinosa, L.. - In: THORACIC AND CARDIOVASCULAR SURGEON. - ISSN 0171-6425. - 58:8(2010), pp. 450-454. [10.1055/s-0030-1249867]

Combined cardiac surgery and total thyroidectomy: Our experience and review of the literature

Poli E.;Malvindi P. G.;Rubino G.;
2010-01-01

Abstract

Background: The prevalence of thyroid disease in patients with cardiac disease can be as high as 11.2%. Combined thyroid and cardiovascular surgery has rarely been reported. Methods: Ten patients (6 female, 4 male, age range 5173 years) had total thyroidectomy and cardiac surgery in the same procedure in our surgical department. Six patients had coronary artery disease; four patients had valvulopathy. The thyroid goiter was retrosternal in 6 patients. Results: Mean stay in the intensive care unit was 46.4hours; the postoperative course was complicated by transient right laryngeal nerve palsy in one case and by transient hypocalcemia in the patients in whom a parathyroid autotransplantation was performed (n=3). There was one case of hemodynamic compromise needing vasoactive drug support; the mean hospital stay was 8.4 days. Conclusions: Our experience and our review of the literature suggest that a single-stage procedure is safe and feasible and must be preferred to different operations as it has an acceptable peri-operative and anesthesiological risk. © Georg Thieme Verlag KG Stuttgart - New York.
2010
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11566/300764
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